Nekeva Lowery
Martinsburg,WV
Summary
Dynamic Claim Lead at First Source with proven expertise in claims processing and inventory management. Recognized for enhancing team performance through effective training and collaboration. Demonstrated attention to detail in evaluating quality errors, ensuring compliance, and optimizing turnaround times across multiple states. A self-directed professional committed to achieving service excellence.
Overview
12
12
years of professional experience
Work History
Claim Lead - Medicaid
First Source
05.2024 - Current
- Worked successfully with diverse group of coworkers to accomplish production goals and address issues related to claims processing.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Provided support and guidance to colleagues by being a subject matter expert.
- Facilitated training sessions for new employees on system functionalities and claims processing
- Evaluated quality errors to detect inconsistencies and malfunctions.
- Compiled comprehensive inventory reports daily for multiple states (ID, IL, IA, MI, OH, NY, TX, VA) to ensure timely assignment of aging inventory in accordance with Compliance Turnaround times.
Claim Lead - Medicaid
Molina Healthcare
Long Beach, California
01.2022 - 05.2024
- Exercised meticulous attention to claim details during processing across multiple states.
- Maintained updated knowledge through continuing education and advanced training.
- Provided support and guidance to colleagues to maintain a collaborative work environment.
- Trained new team members on inventory processes and best practices for efficiency.
- Created reports on inventory for multiple states and recognize any trends.
Claims Lead
Cigna/Cigna Healthspring
Baltimore, MD
04.2013 - 12.2021
- Coordinated training sessions/coaching to enhance team skills and knowledge.
- Managed project timelines to ensure adherence to deadlines and deliverables.
- Oversaw the allocation and prioritization of daily tasks for the claims team.
- Resolved aging claims by escalating issues to appropriate channels, ensuring timely processing.
- Addressed intricate claim processing inquiries, providing expert guidance to enhance team efficiency.
Education
High School Diploma -
Jefferson High School
West Virginia06-1999
Skills
- Claims processing
- Inventory management
- Communication skills
- Attention to detail
- Subject matter expertise
- Team collaboration
- Data entry
- Self-Directed
- Organizational skills
- QNXT proficiency
Timeline
Claim Lead - Medicaid
First Source
05.2024 - Current
Claim Lead - Medicaid
Molina Healthcare
01.2022 - 05.2024
Claims Lead
Cigna/Cigna Healthspring
04.2013 - 12.2021
High School Diploma -
Jefferson High School